Key Responsibilities:

• Develop, implement and monitor quality management systems in compliance with ISO/JCIA standards and hospital policies.
• Establish and monitor key performance indicators (KPIs) to track the hospital's quality and patient safety outcomes.
• Develop and implement strategies for continuous quality improvement in clinical and non-clinical areas.
• Collaborate with departmental heads to design and execute quality improvement projects.
• Identify, assess, and mitigate risks to patient safety and operational efficiency.
• Develop and implement hospital-wide risk management frameworks.
• Monitor incident reporting systems and implement corrective measures to prevent recurrence.
• Design and deliver training programs for staff on ISO, JCIA, and other quality standards.
• Oversee the development, review, and maintenance of hospital policies, standard operating procedures (SOPs), and guidelines.
• Prepare and present quality assurance reports for hospital leadership.
• Maintain records for audits, surveys, and accreditation visits.
• Maintain records/ reports pertaining to internal and external audits ensuring timely follow up and reporting to concerned chairs and Medical Director.
• Ensure periodic internal quality audits to ensure compliance and facilitate addressing any gaps / non compliances / complaints, and timely closing of the same with appropriate corrective and preventive action.

Qualifications and Experience:

• Master’s Degree with 10-12 years of hands on related experience in hospital or healthcare setting including experience of ISO and JCIA standards.
• In-depth knowledge of ISO 9001, JCIA, and other healthcare quality standards.
• Must be certified in quality standards and occupational environment, health, safety.
• Strong leadership skills to facilitate healthcare teams in adopting best quality practices.
• Strong analytical and problem-solving skills.
• Excellent communication and interpersonal skills for effective collaboration with multidisciplinary teams.
• Ability to deliver trainings on quality standards and patient safety.
• Proficiency in MS Office applications.